During my practice I have cured more than 12 cases of CHOLELIATHIASIS out of approx 20 cases. This case is a unique one. The patient is only 6 yrs old and under the treatment of my close Doctor Friend who is residing far flung me. Doctor himself is a good practitioner and is being consulted by me for clinical experiences. We both treat the patient after long discussion and scrutinazation of symptoms of the patient. But in this case we failed to achieve any kind of improvement. I am putting this case on BB. So that experts doctors may give their expert opinion to treat the patient. As his father gave us last warning that he will go for operation for removing Gall Bladder, if this time the patient was not got relieved.

Patient Name: MOA Age: 6 Yrs Sex: Male

Acute Symptoms (When Choleliathiasis and Cholecystitis)

Severe Pain Excruciating (Gall Bladder region to Navel to Gall Bladder)
Tender Pain and fear not to touch affected part.
Colic Pain - Radiating, Shooting, Crying unable to lie down
No posture give relieve
When in pain, got some relieve when vomit (Tab)
Fever during pain 102 F or high
Sweating on Face & Nose when in pain
Cheeks Red hot flushing
Obstructive Jaundice (Recurrent)
Urine dark yellow with Precipitate
No thirst but mouth lips extreme dry
No chill with fever
Abdominal distension
Generally no nausea and vomiting
No pain in the scapula region
Pathological Reports:
HBsAg Negative
Anti HCV Negative
ESR 40
Haematology Normal
RBC Morphology : Anisocytosis with Microcytosis
LFT ALT 34
AST 9
T Bilirubin 1.0 (varies
at different occasion)
Alt Phos 120
T Protein 6.9
USG Report:
Liver: C.B.D diameter is normal. Normal echotexture of liver parenchyma. Portal vein diameter is of normal caliber. no free fluid seen.
Gall Bladder: Enlarge. Odematous wall thickness measuring .36cm (N-upto 3mm). Two Calculi ranging from 5mm to 7mm in lumen casting strong acoustic shadow.

General Symptoms.
Occasionally abscess appeared on body skin
Occasionally styes appeared on both eye lids
Slight Pigeon Chest (Phos)
The Child is Physically a Healthy one and has Normal weight
Body is slightly fat. (Calc Carb)
Sweating at Head when sleep. (Calc Carb)
Like to place feet out side covering sheet.
Unlike neck tie or other neck clothes e.g high neck
Like Salty items (used too much spicy food)
Good appetite (always want full stomach)
Quiet Intelligent and good in studies.
No history of T.B or Gall stone in family
Born as a result of C Section

Last Words:
I am not mentioning here the homoeo remedies which the patient so for used. So that you may not get confused. I accept my defeat. Some doctors advised me to put all major symptoms on BB and send USG reports to them. Now the case is in your hands. I will not prescribe the medicine. All of you are requested to study the case thoroughly and prescribed one complete prescription. I will intimate as such without my personal opinion. But remember two prescription one when patient will feel pain i.e. in acute condition and other when the patient is quiet well physically and pathologically (as he is quiet well now) in order to dissolve the stones. I always have attitude of learning. As my mother language is not English so for get too much spelling and grammatical mistakes. Any further inquiry will be welcome. Those who are interested in USG reports requested to mention email address. SAM (Homoeopath) Ph.D

Please see the questionnaire on GM's website, and post answers in detail to all the questions there.
If you do not know the answers since you do not have the patient in front of you, please ask your colleague who has direct contact with the patient to examine him, question him etc. and to send the answers in full.

The report supplied is very detailed as a medical report, but it is not a full homoeopathic case, and that must be obtained in order to analyse.

In the meantime, what is your opinion regarding a removal of the stones without removing the bladder itself, so as to buy time? And then to prescribe to prevent recurrence. If surgery is necessary, this is preferable to removing the gallbladder.

How frequent are the attacks of pain for the child? How long do they last? Do they come at a time of day or night? What ameliorates? Is conventional medication used?

Have any homoeopathic remedies altered the case in any respect?

What is the emotional state of the child during the attacks?
Since there is fever without thirst, I wonder if pulsatilla been considered? But without more symptoms, it is guesswork.

The given symptomes say chelidonium majus as the acute remedy, but the underlying cause, may be from the spine, chiropractic check is needed, if a block in the nerves there is the cause, no remedy will help, even if constitutionla.
Also, , cause of c section, the mother is given a drip consisting of four minerals in the blood stream, most often, its natrium mur thats the disturber, second is kalium carb, third calc c, and seldom magnesium, have never seen mag disurb yet..
As i would think, cause of these symptomes give chel majus first 200 or above, one dose.
Then follow with natrium mur.
But first of all check if a mecanical cause in the back.

In my opinion there will be two prescription for this unique case. I have obtained good result from below mentioned prescription. Although it is not homoeopathic way. It is an applied Homoeopathy rather clinical Homoeopathy. We do not take risk here to prescribe single remedy. second this case demands complete observation of patient and remedy change from time to time or as and when required.

1. acute condition when in pain and obs janundice

Calc Carb 200 repeat after 15 min in some quantity of water. as it is dilator when stone is blocked in bile duct.

for pain use Chelidonium Q , Cardus Mar Q and Berb Q (mix of 4 drops each in some quantity of water. use after calc carb 15 min)

(Dr.SAM please also see Colo cm with mag phos 6x in warm water. Cham have many symptoms. see and apply if applicable)

2. When not in pain

One spoon of olive oil mixed with orange juice TDS for one month.

Nat Sulf 1m after 3 days

use all liquid juices. Avoid meat. Use maximum vegetables. Avoid any kind of fats.

please send USG report: email drmastalk@doctor.com

GM, isn't it risky to give the constitutional at this stage with the stones being so large? I am concerned that the remedy, be it perfectly selected, might cause the bladder to attempt to pass the stones and that could result in agony and a situation in which the child might have to be taken for emergency surgery.
Wouldn't the safest way be to remove the stones, but NOT the bladder, surgically and then to treat constitutionally?

No, not risky, cause the constitutional, seem to be natrium mur, it dont expell any stones, it calms them down, and the reason to stone upbuild, is cramps in the bile duct from natrium disturbances.
The chel migth do it, so nm would probably be the best to use first, and chel as a cute for pains, if needed, no i think NM is the first choice here, and using letichin to dissolve or soften it over the next 14 days, then try lycopodium to drive it out.
Ø is not recomendable, since they migth start migration of the stones at this point, and thats not recomendable.

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Homeopat MNNH Geir Marcussen.
http://members.home.net/franske/naturalway.html
e-mail. getm@eunet.no

Thankyou SAM for sending reports.
I think. Use the experience of GM. for prescribing Nat Mur and Chelid 200.
ANNA BRYANT your comments are still awaited on the topic.

[This message has been edited by DR.MAS (edited 22 December 2000).]

I also defer to GM's greater knowledge and experience, and second his advice for that reason.

As I posted above, I would think that surgical removal of the stones [NOT THE GALLBLADDER ITSELF] followed by constitutional treatment would be the safest way to proceed. If to try to reduce and then to pass the stones, the case needs to be very carefully monitored.

What is the latest news?

[This message has been edited by DR.MAS (edited 18 January 2001).]